Individual
MS. JENNIFER LYNN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1751 N 15TH ST, ABILENE, TX 79603-4430
(325) 673-8892
Mailing address
6023 77TH ST, LUBBOCK, TX 79424-1732
(405) 819-8909
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
207966
TX
Other
Enumeration date
07/09/2007
Last updated
07/09/2007
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